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Maine rates for HCPCS J2562

Injection, plerixafor, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.77 / $58.77 / $63.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.34 / $144.56 / $144.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.51 / $30.77 / $80.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $25.33 / $25.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.33 / $25.33 / $37.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $25.33 / $25.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $25.33 / $30.67
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.77 / $58.77 / $63.33
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.34 / $63.33 / $144.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $25.33 / $91.79